| NPI | 1124467519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A141394) |
| 207R00000X Internal Medicine (Licence: VT 0420013644) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-03-17 |